After looking over and reviewing which articles would be most relevant eight

After looking over and reviewing which articles would

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were relevant to preventing pressure injuries. After looking over and reviewing which articles would be most relevant eight articles were chosen that pertained to the prevention of pressure injuries. When comparing the data collected on preventing pressure injuries it was discovered that most of the questions focused on how well prophylactic dressings would work in the prevention of pressure injuries. There were also a few questions as to what the effectiveness and cost effectiveness of prevention would be. All in all, the main question to answer was would preventing pressure injuries be more beneficial to the patients, rather than having to take care of the pressure injuries once they occur? Majority of the sample population in the research studies consisted of patients in Intensive Care Units. A few of the research populations included samples from the following the Tissue Viability Unit at the Canberra Hospital in Perth, Australia, the Trends in Long-Term Rehabilitation Center, Acute Care hospitals in the USA, Functional Unit of Cerebrovascular Diseases, and Hospital Clinic in Barcelona, Spain. There was a variety of populations that were selected with ICU being the focus in this research. Looking at each study that was used to help prevent pressure injuries for this capstone project there were some limitations noted. A few of the studies that were selected were only limited to the ICU; and with these patients they are in a more critical state and are going to require more care; needing to be turned and repositioned every two hours, if not more frequently. The research was mainly focused on ICU patients with a few other samples in there. Applicable Change or nursing theory utilized
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CAPSTONE PROJECT PRESSURE INJURIES 6 Lewin’s theory is only suitable for small changes, it ignores organizational partners and politics, it is a top down and management driven approach, and assumes that the organizations operations are in a stable state (Mitchell, 2012). Lewin’s Theory is made up of three stages which he believes all change must go through in order to become part of a system. Unfreezing 1. Examines the status quo 2. Increases driving forces for change Moving 1. Take action 2. Make changes 3. Involve people Refreezing 1. Make changes permanent 2. Establish new way of things 3. Reward desired outcomes Lewin’s theory would be most useful in the prevention of pressure injuries by the implementation of the use of sacral foams and the skin check slip sheets at shift change to ensure that skin checks are being completed as it is using a new foam dressing to assist in preventing pressure injuries. Potential barriers
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CAPSTONE PROJECT PRESSURE INJURIES 7 An expected barrier that arises is that in nursing the nurses don’t always have the resources available to them that they need. When preventing pressure injuries nurses will need the skin check slips, heel protectors, pink sacral foams, as well as heel foams, and elbow foams, barrier creams, and other needs that may arise. “In nursing, best research evidence refers to
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